Culture fungi definitive id mold at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$41.13
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$235.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$9.29 with United vs $211.50 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | Commercial|Exchange | $9.29 | ↓ -77% |
| PGT | Medicare|All Plans | $10.12 | ↓ -75% |
| BCBS | Medicare|All Plans | $10.32 | ↓ -75% |
| AETNA | Medicare|All Plans | $10.32 | ↓ -75% |
| UNITED | Medicare|All Plans | $10.53 | ↓ -74% |
| AMERIVANTAGE | Medicare|All Plans | $10.63 | ↓ -74% |
| SCANHealth | Medicare|All Plans | $11.04 | ↓ -73% |
| BCBS-TX | Commercial|Ref Lab | $11.24 | ↓ -73% |
| SUPERIOR | Medicaid|CHIP | $14.14 | ↓ -66% |
| UNITED | Medicaid|STARKIDS | $14.42 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $14.42 | ↓ -65% |
| SUPERIOR | Medicaid|All Other Plans | $14.85 | ↓ -64% |
| BCBS | Medicaid|STARKIDS | $14.85 | ↓ -64% |
| Ambetter | Commercial|All Plans | $14.96 | ↓ -64% |
| Wellpoint | Commercial|Exchange | $15.48 | ↓ -62% |
| Bright Health | Commercial|All Plans | $18.37 | ↓ -55% |
| United | Commercial|All Other Plans | $20.07 | ↓ -51% |
| SUPERIOR | Medicaid|STAR | $20.50 | ↓ -50% |
| Entrust | Commercial|All Plans | $20.64 | ↓ -50% |
| Cigna | Commercial|Local Plus | $22.64 | ↓ -45% |
| Ellwood | Commercial|All Plans | $30.96 | ↓ -25% |
| NX Health | Commercial|All Plans | $33.54 | ↓ -18% |
| SUPERIOR | Medicaid|STARPLUS | $35.07 | ↓ -15% |
| UNITED | Medicaid|STARPLUS | $35.77 | ↓ -13% |
| BCBS-TX | Commercial|Blue Premier | $36.22 | ↓ -12% |
| BCBS-TX | Commercial|Blue Advantage HMO | $36.22 | ↓ -12% |
| BCBS-TX | Commercial|HMO | $36.95 | ↓ -10% |
| BCBS-TX | Commercial|PPO | $42.62 | ↑ +4% |
| Wellpoint | Medicaid|All Other Plans | $59.22 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $81.43 | ↑ +98% |
| Health Smart | Commercial|All Plans | $129.25 | ↑ +214% |
| First Health | Commercial|All Plans | $141.00 | ↑ +243% |
| Humana | Commercial|All Plans | $143.35 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $150.40 | ↑ +266% |
| Aetna | Commercial|All Plans | $155.10 | ↑ +277% |
| PHCS | Commercial|All Plans | $199.75 | ↑ +386% |
| Multiplan | Commercial|All Plans | $211.50 | ↑ +414% |
Visitor-reported prices
Comments
Culture fungi definitive id mold at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $100.46 | $8.67 – $86.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $95.10 | $12.00 – $98.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $95.10 | $8.67 – $82.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $100.46 | $8.67 – $86.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $95.10 | $9.28 – $98.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $95.10 | $8.00 – $98.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $95.10 | $8.67 – $98.44 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $100.46 | $8.67 – $86.14 |